THE WORST CRUISES OF 2012

Gastric illnesses, often caused by food poisoning, are quite common on cruises. They spread quickly in these crowded, close quarters, and can totally ruin your vacation.

The U.S. Centers for Disease Control and Prevention (CDC) tries to keep you as safe as possible. When cruise ships participating in the CDC operated Vessel Sanitation Program arrive in a U.S. port from a foreign port, they are required to report the total number of gastrointestinal (GI) illness cases that have been brought to the attention of the medical officer on board during that particular cruise. These will only be a small percentage of actual cases that have occurred on the cruise: lines are often long, passengers are afraid of additional costs, and, as a result, they frequently tough it out rather than report being ill.

If 3% or more passengers or crew have had symptoms of GI illness, the ship has to file a special report. Only sizeable cruise ships (with over 100 passengers) participate in this CDC program, but some are very large indeed, carrying 5,000 or more passengers. Therefore, even this low percentage will often mean hundreds of people on board have been ill.

So which cruise ships had such large outbreaks in 2012, and what was the cause? As you can see from the below chart, norovirus or "the cruise ship virus" is the most common cause of a miserable cruise. Princess Cruises has been heavily hit, with the same ship having outbreaks more than once in the case of Ruby Princess and Crown Princess. This is not unusual, particularly in the case of the very contagious norovirus outbreaks, since it is extremely difficult to 100% decontaminate the ship after an outbreak. Princess Cruises was also heavily hit with outbreaks the previous year (2011) with Sea Princess and Coral Princess each having two serious outbreaks. Of course, since it is a huge cruise ship line, it is also more likely to have such problems. But still, it is a good idea to check out your ship if you are planning to go on a cruise (see next post).


LARGE OUTBREAKS ON CRUISES IN 2012

Cunard Line Queen Mary 2 12/22 - 01/03 - cause unknown
Princess Cruises Emerald Princess 12/17 - 12/27 - cause unknown
Prestige Cruise Oceania Riviera 11/15 - 11/29 - cause unknown
Holland America LineAmsterdam 11/11-12/5- caused by Norovirus
Princess Cruises Ruby Princess 10/09-10/28- caused by Norovirus & E. coli
Princess Cruises Dawn Princess 08/21-09/13 -caused by Norovirus
Royal Caribbean Rhapsody of the Seas 08/24-08/31- caused by Norovirus
Carnival Cruise Line Carnival Glory 08/06-08/11-caused by Norovirus
Princess Cruises Sun Princess 07/08-07/21-caused by Norovirus
Princess Cruises Ruby Princess 02/26-03/04-caused by Norovirus
Princess Cruises Crown Princess 02/04-02/09 -caused by Norovirus
Celebrity Cruises Celebrity Silhouette 01/29-02/10- caused by Norovirus
Celebrity Cruises Celebrity Constellation 01/28-02/11-caused by Norovirus
Princess Cruises Crown Princess 01/28-02/04 -caused by Norovirus
P & O Cruises Aurora 01/04-01/26 - caused by Norovirus
Royal Caribbean Voyager of the Seas 01/28-02/04 - caused by Norovirus

To your good health,

TSF

MORE ADVICE ON AVOIDING SICKNESS ON A CRUISE

So with all these recently publicized outbreaks of illness on cruise ships, what do you do if you want to take a trip anyway? On Feb. 25, 2011, I posted on "How to Avoid Getting Sick on a Cruise" which focused mainly on reducing your risk of getting the virus from cruise ship food. The below includes some additional recommendations to also reduce your chances of getting the virus from other people or surfaces.

• Check the record of the shipping line and your particular ship for large outbreaks in the past (see the earlier blog for more). Personally, I would not go on a ship that has had a recently recorded outbreak of Norovirus.
• While on the cruise, avoid the buffet, or else, be the first there (again, see my previous posts for reasons).
• Rev up your good sanitation practices while on board, and wash your hands well before you put anything to your mouth - even a pill, a cigarette, your lipstick, brushing your teeth, and of course, before eating. When going on shore, take along an ethanol alcohol-based (a minimum 62%) hand sanitizer, preferably in a gel form and some tissues.
• If you can, avoid eating catered meals on shore, or be very careful about what you eat (nothing raw or sitting out in the sun). Drink only bottled water or drinks and avoid the ice (including crushed ice) and citrus slices.
• If you see someone on board who looks ill or says they are not feeling well (unless they have seasickness) keep away from them.
• If there is an ongoing outbreak on board, avoid crowds and groups as much as possible (difficult on board), touching railings, public restrooms, the swimming pool, whirlpool and spas.
• Keep healthy, getting enough sleep and eating well.

To your good health,

TSF

CRUISING MAY BE NO CARNIVAL IF YOU GET FOOD POISONING

I noticed that there have been a lot of views lately of my post of 25 February of last year, titled "Is Cruise Ship Food Safe to Eat?" People must be planning cruises this time of year. That is, if they still want to take the risk after the Carnival Cruises disaster in Italy a few days ago. But if you do - remember, running aground is not the only risk on the trip. There's also food poisoning.

In case you need convincing about the health risks on cruise ships, read the second comment on this post - much abbreviated here: "Just returned from my third cruise in about 3 years. Both my daughter and I got sick........ I feel like death warmed over. I wouldn't wish this on my worst enemy!..." It sounds like a bad case of Norovirus - the most common cause of food poisoning, which frequently crops up on cruise ships. It can really ruin your vacation.

There are actually three post on the topic of cruise ship food on this blog, and you should particularly read the second on the list if cruising is on your agenda:

"Why are Cruise Ships Risky Places to Eat" - 26 February 2011

"How to Avoid Getting Sick on a Cruise Ship" - 25 February 2011

"Is Cruise Ship Food Safe to Eat?" 25 February 2011

And choose your cruise ship carefully to make sure it has not had recent outbreaks by checking the CDC "green sheet" (information on the posts).

To your good health,

TSF
Updated on Jan. 16